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慢性肺心病难治性心衰的药物治疗

张映仁, 牛传瑞,王晓明

CHINESE JOURNAL OF HOSPITAL PHARMACY(1999)

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Abstract
目的:了解慢性肺心病难治性心衰的药物治疗近况.方法:总结了酚妥拉明、卡托普利、阿替洛尔、多巴酚丁胺、山莨菪碱及卡托普利与酚妥拉明联用对肺心病顽固性心衰的疗效.结果:表明上述药物通过不同的途径降低肺循环阻力,减轻心脏负荷,改善微循环,改善心脏功能,促进心衰的恢复.结论:慢性肺心病顽固性心衰的患者对洋地黄类药物耐受性低,疗效差,容易发生中毒.酚妥拉明、卡托普利、阿替洛尔、多巴酚丁胺、山莨菪碱等药物对肺心病顽固性心衰有明显的疗效.
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